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PHARES BOOK, PSY.D,LPC
PSY.D,LPC
Psychologist
NPI: 1386660678Individual
Specialties, Licenses & Credentials
PsychologistPrimary
Psychologist
Code: 103T00000X
202193(ID)
CMS Specialties
PrimaryCLINICAL PSYCHOLOGIST
Education
OTHER
Class of 2003
Contact & Hours
- Address
- 815 FILLMORE ST
CALDWELL, ID 83605 - Phone
- (208) 459-6962
Quick Facts
- NPI
- 1386660678
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Not confirmed
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 23
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